Active NPI
David Matthew Mims, D.C.
- Chiropractor
- Jemison, AL
National Provider Identifier
1174610729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2043
- Practice address
- 24982 US Highway 31
Jemison, AL 35085-7830 - Phone
- (205) 688-3303
- Fax
- (205) 688-3303
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2043 | AL | Primary |
Addresses
Primary practice location
24982 US Highway 31
Jemison, AL 35085-7830
Mailing address
24982 US Highway 31
Jemison, AL 35085-7830
Phone (205) 688-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-12414 | Other | AL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jemison Family Chiropractic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Jemison, AL
- NPI 1033489612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174610729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24982 US HIGHWAY 31",
"city": "JEMISON",
"state": "AL",
"postal_code": "350857830",
"telephone_number": "205-688-3303",
"fax_number": "205-688-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24982 US HIGHWAY 31",
"city": "JEMISON",
"state": "AL",
"postal_code": "350857830",
"telephone_number": "205-688-3303",
"fax_number": "205-688-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "DAVID",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "515-12414",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jemison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.